Evaluating the outsourcing of nursing care attendants in the healthcare sector via the analytic hierarchy process and sensitivity analysis

2007 ◽  
Vol 10 (3) ◽  
pp. 395-410 ◽  
Author(s):  
Pi-Fang Hsu ◽  
Pi-Mei Dai
Keyword(s):  
Sensitivity Analysis ◽  
Analytic Hierarchy Process ◽  
Nursing Care ◽  
Healthcare Sector ◽  
Analytic Hierarchy ◽  
The Analytic Hierarchy Process ◽  
Hierarchy Process

scholarly journals Evaluating preferences for colorectal cancer screening in individuals under age 50 using the Analytic Hierarchy Process

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Travis Hyams ◽  
Bruce Golden ◽  
John Sammarco ◽  
Shahnaz Sultan ◽  
Evelyn King-Marshall ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Sensitivity Analysis ◽  
Analytic Hierarchy Process ◽  
Fecal Immunochemical Test ◽  
Shared Decision ◽  
Analytic Hierarchy ◽  
Screening Strategies ◽  
Immunochemical Test ◽  
The Analytic Hierarchy Process ◽  
Hierarchy Process

Abstract Background In 2021, the United States Preventive Services Task Force updated their recommendation, stating that individuals ages 45-49 should initiate screening for colorectal cancer. Since several screening strategies are recommended, making a shared decision involves including an individual’s preferences. Few studies have included individuals under age 50. In this study, we use a multicriteria decision analysis technique called the Analytic Hierarchy Process to explore preferences for screening strategies and evaluate whether preferences vary by age. Methods Participants evaluated a hierarchy with 3 decision alternatives (colonoscopy, fecal immunochemical test, and computed tomography colonography), 3 criteria (test effectiveness, the screening plan, and features of the test) and 7 sub-criteria. We used the linear fit method to calculate consistency ratios and the eigenvector method for group preferences. We conducted sensitivity analysis to assess whether results are robust to change and tested differences in preferences by participant variables using chi-square and analysis of variance. Results Of the 579 individuals surveyed, 556 (96%) provided complete responses to the AHP portion of the survey. Of these, 247 participants gave responses consistent enough (CR < 0.18) to be included in the final analysis. Participants that were either white or have lower health literacy were more likely to be excluded due to inconsistency. Colonoscopy was the preferred strategy in those < 50 and fecal immunochemical test was preferred by those over age 50 (p = 0.002). These results were consistent when we restricted analysis to individuals ages 45-55 (p = 0.011). Participants rated test effectiveness as the most important criteria for making their decision (weight = 0.555). Sensitivity analysis showed our results were robust to shifts in criteria and sub-criteria weights. Conclusions We reveal potential differences in preferences for screening strategies by age that could influence the adoption of screening programs to include individuals under age 50. Researchers and practitioners should consider at-home interventions using the Analytic Hierarchy Process to assist with the formulation of preferences that are key to shared decision-making. The costs associated with different preferences for screening strategies should be explored further if limited resources must be allocated to screen individuals ages 45-49.

scholarly journals The analytic hierarchy process as a holistic model for the assessment of dialysis centres

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M B Kaziuk ◽  
W Kosiba
Keyword(s):  
Analytic Hierarchy Process ◽  
Medical Care ◽  
Nursing Care ◽  
Medical Staff ◽  
Therapeutic Process ◽  
Ahp Method ◽  
Analytic Hierarchy ◽  
The Analytic Hierarchy Process ◽  
Hierarchy Process

Abstract Introduction Haemodialysis is one of the methods of renal replacement therapy which is most frequently used in Poland and in the world in patients with chronic and acute renal failure. Purpose: An attempt was made to have patients undergoing regular haemodialysis assess the results of activity of dialysis centres. Methods 64 patients (30 women, 34 men, age: 50.2 +/- 11.9 years) undergoing dialysis therapy in three selected dialysis centres in Poland were included in the study. A questionnaire correlated with the analytic hierarchy process (AHP) was employed for the assessment. The dialysis centres were assessed by the patients in the context of availability of services, communication between the medical staff and the patient and the treatment used. Two sub-criteria were connected with each criterion, for which significance (priorities) indicating a dependent impact on the assessment of the quality of dialysis centres was calculated. Results From amongst four domains of the assessment of dialysis centres, the patients rated medical care and nursing care the highest (w = 0.386), where medical care had significance equal to 0.455, and nursing care had significance equal to = 0.545. The next important part of the assessment of dialysis centres was communication between the medical staff and the patient (w = 0.321) and the treatment used (haemodialysis) (w = 0.155). Availability of services had the lowest significance (w = 0.138), including performance of examinations for kidney transplant and medical transport for haemodialysis. Conclusions The assessment of dialysis centres using the AHP method should be part of the therapeutic process where one needs to emphasise the role of the patient in chronic nephrological care which translates into the quality of services provided by dialysis centres. Key messages The assessment of dialysis centres using the AHP method should be part of the therapeutic process. The patient’s role and its good assessment in the treatment process is very important.

ON SENSITIVITY RANKING USING ANALYTIC HIERARCHY PROCESS

2007 ◽  
Vol 15 (supp02) ◽  
pp. 67-73 ◽  
Author(s):  
HUNG DANG
Keyword(s):  
Sensitivity Analysis ◽  
Decision Support ◽  
Analytic Hierarchy Process ◽  
Systematic Method ◽  
Analytic Hierarchy ◽  
Parametric Sensitivity ◽  
Parametric Sensitivity Analysis ◽  
The Analytic Hierarchy Process ◽  
Two Parameters ◽  
Hierarchy Process

We present an application of the Analytic Hierarchy Process (AHP) in the sensitivity analysis of a multi-parameter decision support problem. In this problem, the Multi-Parametric Sensitivity Analysis (MPSA) appears appropriate and is employed. A drawback of MPSA is that it only produces a sensitivity comparison between every two parameters, and does not offer a systematic method for ranking all parameters at once. Without the overall sensitivity ranking, it is difficult to interpret the analysis result from MPSA, especially when the number of parameters is large. Our paper shows that AHP can be used to perform such ranking based on MPSA's pair-wise comparisons.

scholarly journals Analysis of comprehensive sensitivity evaluation of aircraft system based on FTA-AHP

2021 ◽  
Vol 39 (5) ◽  
pp. 971-977
Author(s):  
Yunwen FENG ◽  
Zhicen SONG ◽  
Cheng LU ◽  
Xiaofei LIU
Keyword(s):  
Sensitivity Analysis ◽  
Analytic Hierarchy Process ◽  
Reliability Analysis ◽  
Fault Tree ◽  
Evaluation Index ◽  
Analysis Model ◽  
Analytic Hierarchy ◽  
Sensitivity Evaluation ◽  
The Analytic Hierarchy Process ◽  
Hierarchy Process

Aiming at the lack of unified evaluation index for the sensitivity analysis of fault tree of the system, the Analytic Hierarchy Process(AHP) is introduced into Fault Tree Analysis(FTA), and an FTA-AHP method is proposed to generate the comprehensive sensitivity evaluation index of the system. Firstly, the reliability analysis model of the system fault tree is established, and three indexes including probabilistic sensitivity, relative sensitivity and structural sensitivity, are calculated by using the traditional sensitivity analysis method. Then, combined with the analytic hierarchy process, the weight coefficients were determined according to the sensitivity analysis results above and the type of the minimum cut set, and the comprehensive sensitivity evaluation and analysis of the system fault tree were carried out. Finally, the case verification shows that compared with the traditional method, the comprehensive sensitivity ranking results have less repeatability, and the factors are considered comprehensively, which is convenient for decision makers to make judgment. The synthetic sensitivity evaluation model developed provides support for system reliability analysis.

Sign in / Sign up

Export Citation Format

Share Document